Reassessing BMI-based access to joint replacement surgery.

Evans, Jonathan P; McLaughlin, Joanna; Evans, Jonathan T · PLoS Med · 2026

review · Level V

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Abstract

Joint replacement surgery transforms lives for patients with higher body mass index (BMI). Strong evidence shows safe outcomes and meaningful benefit, yet access remains restricted by BMI alone, an approach that risks stigma, inequity, and avoidable harm.

Medical subject headings